Surgical Equipment and Supplies 2nd

Edition Rutherford Test Bank

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Surgical Equipment and Supplies 2nd Edition Rutherford Test Bank

Chapter One: Common Equipment and Supplies

Multiple Choice

1. A Mayfield attachment is most likely used for which type of surgery?

A. total knee
B. craniotomy
C. total tip
D. endoscopic AAA repair

ANS: B

2. The PACS system is used to archive which type of studies?

A. radiologic
B. laboratory values
C. EEG results
D. ECG tracings

ANS: A

3. If a tourniquet needs to stay inflated longer than the recommended time during the
surgical procedure, it should be deflated for _______ minutes and then re-inflated.
A. 5
B. 20
C. 25
D. 10

ANS: D

4. During which of the following surgeries might a cell saver be used?

A. shoulder arthroscopy
B. bowel resection
C. splenectomy for a ruptured spleen
D. strangulated hernia repair

ANS: C

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5. When placing a safety strap on a patient, it should be placed approximately ______
inches above the knees.
A. 2
B. 6
C. 1
D. 5

ANS: A

6. The maximum continuous time that a tourniquet should be left inflated on a leg is
_______ minutes.
A. 30
B. 60
C. 90
D. 120

ANS: D

7. Which of the following would most likely be used to position a patient who is
undergoing surgery on the lower back?
A. Jackson table
B. candy cane stirrups
C. fracture table
D. knee crutch stirrups

ANS: A

8. A horseshoe or Shea may be used to position the patient’s _______.

A. head
B. arm
C. foot
D. shoulders

ANS: A
9. Arms should NEVER be extended more than _______ degrees on an arm board.
A. 45
B. 65
C. 90
D. 120

ANS: C

10. Hyperextension of the arm can cause damage to the:

A. peroneal nerve
B. popliteal nerve
C. brachial plexus
D. chordae tendineae

ANS: C

11. All of the following are types of stirrups except:

A. candy cane
B. boot
C. knee release
D. knee crutch

ANS: C

12. __________ is a gas that can be used to power equipment such as saws or drills.
A. Oxygen
B. Carbon dioxide
C. Nitrogen
D. Argon

ANS: C

13. Which of the following types of electrosurgery unit does not require the use of a
grounding pad?
A. monopolar
B. argon beam
C. bipolar
D. electrosurgical pencil
ANS: C

14. Fire safety rules during the use of electrosurgery include all of the following except:
A. Allow all prep solutions to dry completely.
B. Water or saline must be available on the surgical field.
C. When not in use, the handpiece should be placed in a holder.
D. Saline bottles may be safely stored on top of the machine.

ANS: D

15. In reference to electrosurgery units, ABC stands for:

A. aluminum beam coagulation
B. argon beam coagulation
C. argon beam cautery
D. aluminum beam cautery

ANS: B

16. Which of the following staff members should not apply the pneumatic tourniquet?
A. surgeon
B. physician assistant
C. registered nurse
D. surgical technologist

ANS: D

17. Ultrasonic cleaners use ___________ to remove debris from instruments.

A. cavitation
B. steam
C. ethylene oxide
D. Cidex

ANS: A

18. ____________ is an anesthetic gas.

A. Oxygen
B. Nitrogen
C. Nitrous oxide
D. Argon

ANS: C

19. An Optigard protector is used when the patient is prone to protect the _______.
A. fingers
B. hands
C. toes
D. eyes

ANS: D

20. A Doppler is used to assess ________ flow.

A. urine
B. coronary artery
C. blood
D. brain wave

ANS: C

Multiple Choice With Image

<insert figure {1-15}>

21. This image depicts which type of stirrup?
A. knee crutch
B. boot
C. candy cane
D. knee gap

ANS: B

<insert image {1-16}>

22. In which type of surgery would this frame most likely be used?
A. cervical spine
B. lumbar spine
C. GYN
D. hemorrhoids

ANS: B

<insert image {1- 43}>

23. This cord is used with what type of cautery?
A. tripolar
B. monopolar
C. laser
D. bipolar

ANS: D

<insert image {1-51}>

24. In which type of surgery would you most likely see this used?
A. shoulder arthroscopy
B. total knee replacement
C. total abdominal hysterectomy
D. knee arthroscopy

ANS: B

<insert image {1-39}>

25. Another name for this device is:
A. active electrode
B. inactive electrode
C. bipolar electrode
D. leg electrode

ANS: B

Short Answer
26. Removing the patient from stirrups requires two people to lower the legs slowly at the
same time. What are the two main reasons why?

ANS: To prevent stress on the patient’s lower back and if the legs are lowered too
quickly, hypotension could occur.

27. What are the two main precautions regarding the perineal post on the orthopedic
table?

ANS: The post should be well padded and the patient’s perineal area should not rest
directly against the post.

28. The oxygen regulator is missing from the wall and you are unable to find one.
Another staff member hands you the yellow one marked “medical air” and says, “Just use
this, it will be fine.” Why is this not acceptable practice?

ANS: Regulators are gas specific and NOT interchangeable.

29. What are two important things to do prior to applying a tourniquet cuff?

ANS: Check the skin for breaks or lesions and pad the skin circumferentially with Webril
and stockinette.

30. What is the main reason SCDs are ordered for a patient?

ANS: They help prevent venous stasis and decrease the chance of thrombus formation.

Completion

31. Another name for the back table is the ____________________ table.

ANS: instrument
32. Another name for the ring stand is a _____________________ stand.

ANS: basin

33. Do not place a grounding pad over a _____________________ prominence.

ANS: bony

34. ___________________ ______________________ is used to insufflate the abdomen

during laparoscopic surgery.

ANS: Carbon dioxide

35. A tourniquet on an upper extremity can remain inflated for up to

__________________ minutes.

ANS: 60 (sixty)

36. The nozzle of the smoke evacuation system must be within ________________
inches of the surgical site to be effective.

ANS: 2 (two)

37. Part of the body of the operating room table, a ______________________

_____________________ is used to elevate the flank area for better exposure during
renal procedures.

ANS: kidney rest

38. Another name for candy cane stirrups is _______________________ stirrups.

ANS: sling
39. When using an orthopedic table, traction to the affected leg should be directed or
applied by the _______________________________.

ANS: surgeon

40. A green gas cylinder most likely contains _________________________.

ANS: oxygen

41. Tourniquets should be applied only by __________________________ personnel.

ANS: licensed

42. ___________________________ is the reinfusion of the patient’s own blood or

blood products.

ANS: Autotransfusion

43. Chest rolls are used when placing the patient in a __________________________
position.

ANS: prone

44. __________________________ ___________________________ help avoid

pressure on the axillary nerves and blood vessels during lateral positioning.

ANS: Axillary rolls

45. A ____________________________ assesses blood flow through a blood vessel

before, during, and after surgery.

ANS: Doppler
True or False

46. When placing the patient in stirrups, both legs must be lifted slowly at the same
time by one person.

ANS: False
Rationale: When placing the patient in stirrups, both legs must be lifted slowly at the
same time by two people.

47. An Andrews frame may be used to position a patient for surgery on the lumbar spine.

ANS: True

48. Extra-large Mayo stands are used most commonly for neurosurgical and orthopedic
cases.

ANS: True

49. A good area to place the grounding pad is over the elbow.

ANS: False
Rationale: Grounding pads should not be placed over a bony prominence.

50. Bipolar cauterization requires the use of a grounding pad on the patient.

ANS: False
Rationale: The current passes from one tine of the forceps to the other and never passes
through the patient.

51. Argon beam coagulation uses a combination of argon gas and monopolar
electrosurgery to coagulate tissue.
ANS: True

52. When using monopolar cautery, make sure all jewelry is removed from the patient
prior to surgery.

ANS: True

53. Allow all prep solutions to dry completely before using the electrosurgical unit.

ANS: True

54. If a patient receives a burn and the ESU is suspected to have caused it, throw away all
disposable parts.

ANS: False
Rationale: Save ALL disposable parts of the ESU used on that patient, including the
grounding pad, electrosurgical pencil, and tips. Put these supplies in a
bag and send them with the machine to biomedical engineering to be checked.

55. Nitrogen is most likely stored in a blue cylinder.

ANS: False
Rationale: Nitrogen is most likely stored in a black cylinder.

56. When dealing with medical gases, do not rely solely on the cylinder color; read the
label on the cylinder carefully.

ANS: True

57. Store medical gas cylinders securely in an upright position.

ANS: True
Surgical Equipment and Supplies 2nd Edition Rutherford Test Bank

58. The maximum continuous time a tourniquet may remain inflated on a lower extremity
is 180 minutes.

ANS: False
Rationale: The tourniquet may remain inflated 60 to 120 minutes.

59. Autotransfusion may be used if the patient has a known infection.

ANS: False
Rationale: In most cases, a known infection is a contraindication for the use of
autotransfusion.

60. A cell saver is used when minimal blood loss is expected.

ANS: False
Rationale: The cell saver is capable of processing large quantities of blood and irrigation
fluid and is used when a large blood loss is possible or expected.

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